Jagielski Mateusz, Smoczyński Marian, Adrych Krystian
Department of Gastroenterology and Hepatology, Medical University of Gdansk, Gdansk, Poland.
Department of Gastroenterology and Hepatology, Medical University of Gdansk, Gdansk, Poland.
Pancreatology. 2017 Jan-Feb;17(1):30-31. doi: 10.1016/j.pan.2016.11.004. Epub 2016 Nov 18.
In last thirty years we have been observing significant development of an endoscopic treatment of pancreatic fluid collections, including transmural drainage of walled-off pancreatic necrosis. Simultaneously, the use of endotherapy in treatment of main pancreatic ducts disruptions has increased. Despite many publications available in current literature, concerning the endoscopic treatment of consequences of acute necrotizing pancreatitis, the role of transpapillary drainage in management of patients with pancreatic fluid collections and pancreatic duct disruption as an after-effect of severe acute pancreatitis remains unclear and is still a current problem. This publication includes comment on the article entitled 'Early dual drainage combining transpapillary endotherapy and percutaneous catheter drainage in patients with pancreatic fistula associated with severe acute pancreatitis' published by Yokoi et al. in the July-August 2016 issue of Pancreatology together with questions to the authors. Furthermore, in the article we did pay particular attention to the role of transpapillary drainage in management of pancreatic fluid collections, especially of walled-of pancreatic necrosis.
在过去三十年里，我们一直在观察胰腺液体积聚的内镜治疗取得的重大进展，包括对包裹性胰腺坏死进行透壁引流。同时，内镜治疗在主胰管破裂治疗中的应用有所增加。尽管当前文献中有许多关于急性坏死性胰腺炎后果的内镜治疗的出版物，但经乳头引流在治疗胰腺液体积聚和作为重症急性胰腺炎后遗症的胰管破裂患者管理中的作用仍不明确，仍是当前的一个问题。本出版物包括对横井等人于2016年7 - 8月在《胰腺病学》杂志上发表的题为“重症急性胰腺炎相关胰瘘患者早期联合经乳头内镜治疗和经皮导管引流的双引流”一文的评论以及向作者提出的问题。此外，在本文中我们特别关注了经乳头引流在胰腺液体积聚管理中的作用，尤其是对包裹性胰腺坏死的管理。
